FORM 1023-EZ for POM DE TERRE CHAPTER 5 OF MUSKIES INC

Field Data
EIN 33-1038391
Case Number EO-2020321-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POM DE TERRE CHAPTER 5 OF MUSKIES INC
Organization’s Mailing Address 1167 DOGWOOD VILLAGE LANE
City LAMPE
State MO
ZIP 65681
Accounting period End 12
Primary contact name GEORGE DONNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE DONNER
PRESIDENT AND DIRECTOR
1167 DOGWOOD VILLAGE LANE
LAMPE MO 65681

Officer/Director/Trustee Two

JAMES SMITH
TREASURER AND DIRECTOR
10583 W CASTLEGATE LN
BOIS D'ARC MO 65612

Officer/Director/Trustee Three

TIM DUNAWAY
VICE PRESIDENT AND DIRECTOR
602 E WALNUT ST
SHELBINA MO 63468

Officer/Director/Trustee Four

STEVE WORSTELL
SECRETARY AND DIRECTOR
108 S WESTGLEN DR
RAYMORE MO 64083

Organization’s website WWW.MISSOURIMUSKIES.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1967
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name GEORGE DONNER
Signature Title PRESIDENT AND DIRECTOR
Signature Date 11/12/2020

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